Effects of three Hb-based oxygen-carrying solutions on neutrophil activation in vitro: quantitative measurement of the expression of adherence receptors
M. Toussaint et al., Effects of three Hb-based oxygen-carrying solutions on neutrophil activation in vitro: quantitative measurement of the expression of adherence receptors, TRANSFUSION, 41(2), 2001, pp. 226-231
BACKGROUND: Hb-based oxygen carriers (HbOCs) are currently under investigat
ion as RBC substitutes. These solutions have vasoactive properties and may
modify the behavior of the RBC in vitro. The effects of these agents on oth
er blood cells have not been extensively investigated. The aim of this stud
y was to evaluate the potential effect(s) of three differently modified HbO
Cs on the activation of PMNs.
STUDY DESIGN AND METHODS: Whole blood from humans was incubated with Hb dex
tran-benzenetetracarboxylate, aa-Hb, or o-raffinose-poly-Hb for 15, 30, and
60 minutes. The expression of adherence receptors CD62L, CD18, and CD11b,
which reflects the activation state of the neutrophils, was assessed in vit
ro by a direct immunofluorescence method using calibration beads measured b
y flow cytometry.
RESULTS: The observed expression of each of the three adherence receptors f
or each solution at each time point was similar to that noted with the RPMI
control. Decreases in CD62L and increases in CD18 expression were noted at
15 minutes of incubation but, when those values were compared to the value
s obtained with TNF alpha as the positive control of PMN activation, the pr
ofile of expression of adherence receptors obtained with HbOC solutions did
not conform to the expected activation profile of PMNs.
CONCLUSION: Hb solutions modified by a variety of methods, as obtained and
employed in this study, did not appear to activate neutrophils in vitro.